NPIMap

Organization Active NPI

Northwest Interventional Anesthesiology Pain Managements, Inc.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1013185669
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
48915 Issued in AZ
Legal business name
NORTHWEST INTERVENTIONAL ANESTHESIOLOGY PAIN MANAGEMENTS, INC.
Practice address
10640 N 28TH Dr
Suite C-106
Phoenix, AZ 85029-4527
Phone
(602) 863-3924
Fax
(602) 863-3926
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James H Diede, MDNPI 1679569685
Title
President
Phone
(480) 361-7680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 48915 AZ Primary

Addresses

Primary practice location

10640 N 28TH Dr
Suite C-106
Phoenix, AZ 85029-4527

Mailing address

PO Box 94568
Phoenix, AZ 85070-4568
Phone (480) 361-7680

National Provider Directory

National Provider Directory

Locations

10640 N 28th Dr
Ste C106
Phoenix, AZ 85029
Phone (602) 863-3924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1013185669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94568",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850704568",
            "telephone_number": "480-361-7680",
            "fax_number": "480-361-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR",
            "address_2": "SUITE C-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294527",
            "telephone_number": "602-863-3924",
            "fax_number": "602-863-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INTERVENTIONAL ANESTHESIOLOGY PAIN MANAGEMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "DIEDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-361-7680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "48915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.